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Ten Ways to Annoy Your Doctor

Top 10 lists are back!

I forgot about this kind of post, and a reminder by a reader is bringing them back.  They are really a fun and easy kind of post to write, so you may see a fair number of them (read: Rob is getting lazy).  I thought I’d start back with some suggestions for disgruntled patients (or gruntled ones, for that matter) to make their doctor’s day much worse.

1.  Require the doctor to keep things secret from your child or your elderly parent. Insist that they can’t know about their cancer, depression, ADD, or foot fungus.  Call the medication the doctor prescribes “vitamins.”  Alternatively, you can threaten your child by saying that if they don’t behave better, the doctor will give them a shot. Read more »

*This blog post was originally published at Musings of a Distractible Mind*

The Importance Of Open-Ended Questions

I can spend 20 minutes interviewing a parent about their child and still not really understand them. During a consult, my interview centers on the objective elements in a child’s history. When evaluating a child for abdominal pain, for example, I have a panel of questions that cover what I need to know to generate a starting hypothesis.

But none of it helps me understand Mom.

Understanding where the parents are at is critical to both understanding a child’s problem as well as pitching a plan of care. Whether it’s revealed to me or not, parents often come to me with an agenda. If my plan doesn’t meet with their view of the situation, it’s going to be much harder for me to help that child get what she needs.

So at the end of my interview (usually when washing my hands) I launch one or all of the following questions:
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*This blog post was originally published at 33 Charts*

Why You Shouldn’t Take A Stroller On An Escalator

There’s an epidemic at our malls: parents taking their small children up and down escalators in strollers of all sorts of sizes and shapes. I ended up behind one such parent yesterday and found strollers heading up and down all afternoon. Some were small, some large. Some had bags dangling off of them, others not. Sometimes parents had both hands on the handles, other times they were balancing the stroller and a drink or cell phone. Read more »

*This blog post was originally published at Dr Gwenn Is In*

Book Review: Choices: A Novel

Choices: A Novel is a must read for teachers, parents and teenagers, everywhere. A combination of coming-of-age textbook, conversation starter, bite-your-nails, and gotta finish book, it took me by surprise. Laughter, tears, and some great conversations have filled our home this week as we read Choices.

In a nutshell, the main character, 15 year-old Kara, lives in a very sheltered world, attends a girls school, is an outstanding student. Kara seems to know very little about her own feelings and body, and less about those of others, until the star jock from a local school catches her eye and introduces her to the world of parties, drinking, drugs, and sex. Fearing that she is losing his attention, Kara binge drinks, has non-consensual unprotected sex, and gets pregnant. Her life is immediately turned upside down and Kara feels like she is all alone. Read more »

This post, Book Review: Choices: A Novel, was originally published on Healthine.com by Nancy Brown, Ph.D..

Diabetes Is A Five Letter Word

… and that five letter word is “guilt.”

At the ePatient conference last week, Sue Rago was talking about diabetes and the complications that can arise.  “But the complications of well-managed diabetes?  None.”

And despite the fact that I met and enjoyed hanging out with Sue, this statement cut right through me.  Well-managed diabetes produces no complications?  So diabetes-related complications are just the result of an inattentive “host,” or “slacking off?”  It’s not the fault of diabetes itself? Read more »

*This blog post was originally published at Six Until Me.*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

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I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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